12 results
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... segment should ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
- Concordant ST-segment ... points - Concordant ST-segment ... points - Discordant ST-segment ... #Diagnosis #Cardiology ... #LBBB #RebelEM
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... patient: high-risk ... anatomically oriented ST-segment ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology ... #lbbb
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
-
modified Sgarbossa Criteria ... - Concordant ST-segment ... - Concordant ST-segment ... 0.25 #Diagnosis #Cardiology ... #STSRatio #LBBB
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... #electrocardiogram ... #cardiology #STEMI
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... Trifascicular block - RBBB ... (<360ms) PE: RBBB ... #diagnosis #cardiology ... #electrocardiogram
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... changes (ST segments ... S #Diagnosis #Cardiology ... #LBBB
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of ST segment at ... transitioning in a convex ST-segment ... indistinguishable from ST-segment ... #differential #cardiology ... #electrocardiogram